- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,766.56 / $5,116.62 / $20,680.40
| Facility | | $1,766.56 | $5,116.62 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,902.15 / $8,047.87 / $15,403.47
| Facility | | $1,902.15 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $2,846.84
| Facility | | $714.97 | $870.49 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,421.63 / $2,421.55 / $3,571.30
| Facility | | $1,421.63 | $2,421.55 | $3,571.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,977.24 / $2,716.84 / $2,850.18
| Facility | | $1,977.24 | $2,716.84 | $2,850.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.78 / $1,902.15 / $2,218.36
| Facility | | $738.78 | $1,902.15 | $2,218.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |